NURS 5333 Gastro up to Diverticulitis Study
Guide + Questions with Accurate Solutions
Nurse, my kiddo is vomiting up their stomach. What are we going to give her?
Phenothiazine
Side effects of this are tardive dyskinesia, drowsiness, blood dyscrasias and it lowers
seizure threshold. This can be given in children and children's dosages are based on
age and
Up in the PACU and little JOhnny age 3 is vomiting. Your nurse asks, "I got
Zofran NP??"
OH HECK NO! ..but your a professional and calm down and say-
selective 5-HT3 receptor antagonists have the least amount of side effects ondansetron
and dolasetron mesylate. Dolasetron mesylate is used to prevent nausea and vomiting
in chemo patients. So this drug is given about one hour prior to chemo.
Remember with ondansetron it's not given in children under the age of four( but
see mayo clinic for contradicting information on this)
Google and Zofran use in children: information from the Mayo clinic
For oral dosage forms (oral disintegrating tablets, solution, or tablets):
For prevention of moderate nausea and vomiting after treatment with cancer
medicines:Adults, teenagers, and children 12 years of age—At first, 8 milligrams (mg)
taken 30 minutes before starting cancer treatment. The 8-mg dose is taken again 8
hours after the first dose. Then, the dose is 8 mg every 12 hours for 1 to 2 days.
, Children 4 to 11 years of age—At first, 4 mg taken 30 minutes before starting cancer
treatment. The 4-mg dose is taken again 4 and 8 hours after the first dose. Then,
the dose is 4 mg every 8 hours for 1 to 2 days.
Children younger than 4 years of age—Use and dose must be determined by
your doctor.
GERD
· Risk factors
Risk factors: obesity, hiatal hernias, scleroderma, alcohol use, tobacco use,
pregnancy decrease consumption of food and beverage that triggers this such as
spicy, fatty foods, alcohol or caffeine
-spanx
GERD causes (3), symptoms (3)
Reflux, hiatal hernia, incomp esophageal sphincter. Indig, hrtbrn, sour stomach.
GERD Diagnostic Tests
-barium swallow examination
-upper GI study
-fiberoptic endoscopy
-esophageal manometry
-ambulatory pH studies
-gastroesophageal scintigraphy (radionuclide scan)
-ultrasound
-chest computed tomography (CT)
GERD management
1. Non-pharm measures & antacids
Guide + Questions with Accurate Solutions
Nurse, my kiddo is vomiting up their stomach. What are we going to give her?
Phenothiazine
Side effects of this are tardive dyskinesia, drowsiness, blood dyscrasias and it lowers
seizure threshold. This can be given in children and children's dosages are based on
age and
Up in the PACU and little JOhnny age 3 is vomiting. Your nurse asks, "I got
Zofran NP??"
OH HECK NO! ..but your a professional and calm down and say-
selective 5-HT3 receptor antagonists have the least amount of side effects ondansetron
and dolasetron mesylate. Dolasetron mesylate is used to prevent nausea and vomiting
in chemo patients. So this drug is given about one hour prior to chemo.
Remember with ondansetron it's not given in children under the age of four( but
see mayo clinic for contradicting information on this)
Google and Zofran use in children: information from the Mayo clinic
For oral dosage forms (oral disintegrating tablets, solution, or tablets):
For prevention of moderate nausea and vomiting after treatment with cancer
medicines:Adults, teenagers, and children 12 years of age—At first, 8 milligrams (mg)
taken 30 minutes before starting cancer treatment. The 8-mg dose is taken again 8
hours after the first dose. Then, the dose is 8 mg every 12 hours for 1 to 2 days.
, Children 4 to 11 years of age—At first, 4 mg taken 30 minutes before starting cancer
treatment. The 4-mg dose is taken again 4 and 8 hours after the first dose. Then,
the dose is 4 mg every 8 hours for 1 to 2 days.
Children younger than 4 years of age—Use and dose must be determined by
your doctor.
GERD
· Risk factors
Risk factors: obesity, hiatal hernias, scleroderma, alcohol use, tobacco use,
pregnancy decrease consumption of food and beverage that triggers this such as
spicy, fatty foods, alcohol or caffeine
-spanx
GERD causes (3), symptoms (3)
Reflux, hiatal hernia, incomp esophageal sphincter. Indig, hrtbrn, sour stomach.
GERD Diagnostic Tests
-barium swallow examination
-upper GI study
-fiberoptic endoscopy
-esophageal manometry
-ambulatory pH studies
-gastroesophageal scintigraphy (radionuclide scan)
-ultrasound
-chest computed tomography (CT)
GERD management
1. Non-pharm measures & antacids
